Jeffrey S Boberg (NPI# 1437264595, PAC ID# 4486548906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1437264595 |
| PAC ID by PECOS | 4486548906 |
| Professional Enrollment ID | I20040213000290 |
| Full Name | Jeffrey S Boberg |
| Organization Legal Name | SIGNATURE MEDICAL GROUP, INC. |
| Address |
9323 Phoenix Village Pkwy O Fallon MO 63368-4281 |
| Phone Number | 6365610871 |
| Gender | M |
| Credential | DPM |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4880598291 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 | 6365610871 | SIGNATURE MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SIGNATURE MEDICAL GROUP, INC. |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Fissel | Orthopedic Surgery | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Misty D Wheelock | Nurse Practitioner | Signature Medical Group, Inc. | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7169 |
| Selwyn Picker | Neurosurgery | Signature Medical Group, Inc. | 621 S Ballas Rd, 310a, Saint Lous, MO 63141-5314 |
| Matthew Melander | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| Kenneth G Smith | General Surgery | Signature Medical Group, Inc. | 12122 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-1772 |
| Ann Marie S Rockamann | Obstetrics/gynecology | Signature Medical Group, Inc. | 3023 N Ballas Rd, Suite 600d, Saint Louis, MO 63131-2332 |
| Craig R Ruble | Orthopedic Surgery | Signature Medical Group, Inc. | 1390 Us Hwy 61 G1000, Festus, MO 63028-4136 |
| John E Delrosario | Physical Medicine and Rehabilitation | Signature Medical Group, Inc. | 10010 Kennerly Rd, Suite 4, Saint Louis, MO 63128-2106 |
| Theresa A Boxdorfer | Nurse Practitioner | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Dennis A Dusek | Orthopedic Surgery | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Street Address |
9323 PHOENIX VILLAGE PKWY |
| City | O FALLON |
| State | MO |
| Zip | 63368-4281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Melander | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| James Schaberg | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| John B Powell | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| Kevin J Quigley | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| Emil D Difilippo | Orthopedic Surgery | Signature Medical Group, Inc | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | PODIATRY |
| City + Specialty | O FALLON + PODIATRY |
Please comment or provide details below to improve the information on Jeffrey S Boberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.